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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">nnp</journal-id><journal-title-group><journal-title xml:lang="en">Neurology, Neuropsychiatry, Psychosomatics</journal-title><trans-title-group xml:lang="ru"><trans-title>Неврология, нейропсихиатрия, психосоматика</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2711</issn><issn pub-type="epub">2310-1342</issn><publisher><publisher-name>"IMA-Press", LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/2074-2711-2020-5-98-103</article-id><article-id custom-type="elpub" pub-id-type="custom">nnp-1454</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>Cervical dystonia: current rehabilitation strategies and methods</article-title><trans-title-group xml:lang="ru"><trans-title>Цервикальная дистония: современные стратегии и методы реабилитации</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Истомина</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Istomina</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197376, Санкт-Петербург, ул. Академика Павлова, 12</p></bio><bio xml:lang="en"><p>9, Academician Pavlov St., Petersburg 197376</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Милюхина</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Miliukhina</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ирина Валентиновна Милюхина</p><p>197376, Санкт-Петербург, ул. Академика Павлова, 12, </p><p>197022, Санкт-Петербург, ул. Льва Толстого, 6-8</p><p> </p></bio><bio xml:lang="en"><p>Irina V. Miliukhina</p><p>9, Academician Pavlov St., Petersburg 197376, </p><p>6-8, Lev Tolstoy St., Saint Petersburg 197022</p></bio><email xlink:type="simple">milyukhinaiv@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дидур</surname><given-names>М. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Didur</surname><given-names>M. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197376, Санкт-Петербург, ул. Академика Павлова, 9 </p></bio><bio xml:lang="en"><p>9, Academician Pavlov St., Petersburg 197376</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Институт экспериментальной медицины»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Experimental Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Институт экспериментальной медицины»;&#13;
ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Experimental Medicine;&#13;
Acad. I.P. Pavlov First Saint Petersburg State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУН «Институт мозга человека им. Н.П. Бехтеревой» Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.P. Bekhtereva Institute of Human Brain, Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>25</day><month>10</month><year>2020</year></pub-date><volume>12</volume><issue>5</issue><fpage>98</fpage><lpage>103</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Istomina A.S., Miliukhina I.V., Didur M.D., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Истомина А.С., Милюхина И.В., Дидур М.Д.</copyright-holder><copyright-holder xml:lang="en">Istomina A.S., Miliukhina I.V., Didur M.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://nnp.ima-press.net/nnp/article/view/1454">https://nnp.ima-press.net/nnp/article/view/1454</self-uri><abstract><p>Idiopathic cervical dystonia (CD) is a movement disorder that is characterized by sustained or intermittent muscle contractions causing often repetitive movements, fixed postures, or both. This is the most common form of focal dystonia. The lack of highly effective rehabilitation in CD can substantially increase the number of disabled people and/or lead to a significant decrease in the working capacity of young patients. Despite the high social significance of the problem, there are currently insufficient studies of the use of medical and physical rehabilitation methods for CD. Taking into account the complexity, multicomponent pattern, and clinical diversity of CD manifestations, these patients require multidisciplinary treatment and rehabilitation approaches to achieve maximum results. This review discusses rehabilitation strategies and methods in CD, which are based on the modern understanding of the etiology and pathogenesis of the disease. As a supplement to botulinum toxin therapy, a multimodal physiotherapy program, kinesio taping, and special and general strengthening physical exercises are considered, which can assist in correcting the posture, reducing the severity of pain in patients with CD, improving daily activity, and increasing the intervals between botulinum toxin injections and lowering the dose of the drug administered.</p></abstract><trans-abstract xml:lang="ru"><p>Идиопатическая цервикальная дистония (ЦД) представляет собой расстройство движения, которое характеризуется устойчивыми или прерывистыми сокращениями мышц, вызывающими часто повторяющиеся движения, фиксированные позы или и то, и другое. Это самая часто встречающаяся форма фокальной дистонии. Отсутствие высокоэффективной реабилитации при ЦД может существенно увеличить количество нетрудоспособного населения и/или привести к значительному снижению работоспособности молодых пациентов. Несмотря на высокую социальную значимость проблемы, в настоящее время недостаточно исследований, посвященных применению методов медицинской и физической реабилитации при ЦД. Учитывая сложность, многокомпонентность и клиническое разнообразие проявлений ЦД, такие пациенты нуждаются в мультидисциплинарном подходе к лечению и реабилитации для достижения максимального результата. В данном обзоре обсуждаются стратегии и методы реабилитации при ЦД, основанные на современном представлении об этиологии и патогенезе заболевания. В качестве дополнения к ботулинотерапии рассматриваются мультимодальная физиотерапевтическая программа, кинезиотейпирование, специальные и общеукрепляющие физические упражнения, которые могут способствовать коррекции позы, уменьшению выраженности болевого синдрома у пациентов с ЦД и улучшению повседневной активности, а также позволяют увеличивать интервалы между инъекциями ботулотоксина и уменьшать дозу вводимого препарата.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>цервикальная дистония</kwd><kwd>реабилитация</kwd><kwd>ботулинотерапия</kwd><kwd>физиотерапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cervical dystonia</kwd><kwd>rehabilitation</kwd><kwd>botulinum toxin therapy</kwd><kwd>physiotherapy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Defazio G, Jankovic J, Giel JL, et al. Descriptive epidemiology of cervical dystonia. 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